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MAXI DRUG, INC.
CH01081U Southwest Community Health Center, Inc.
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Covered Entity Details
Entity Name
Southwest Community Health Center, Inc.
Subdivision Name
Roosevelt School School Based Health Center
Type
HRSA-Funded Health Center
340B ID
CH01081U
Entity Address
680 Park Ave
Bridgeport, CT 06604-4610
Grant Number
H80CS00613
Participating Start Date
4/11/2019
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
MAXI DRUG, INC.
Pharmacy Address
RITE AID #10386
1619 POST ROAD
FAIRFIELD, CT 06824
Pharmacy Comments
Contract Details
Approval Date
4/12/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/1/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mollie Melbourne, President/CEO
(203) 332-3501
Contract Pharmacy Representative
Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968
Signed By Date
4/12/2024
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